NCT04206046

Brief Summary

The study aims to assess the effect of spinal anaesthesia against a general anaesthesia with a femoral block, with respect to the incidence of chronic pain following a total knee replacement. It will also focus on genetic factors and their influence on chronic pain.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
200

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jun 2017

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2017

Completed
2.5 years until next milestone

First Submitted

Initial submission to the registry

December 12, 2019

Completed
8 days until next milestone

First Posted

Study publicly available on registry

December 20, 2019

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2022

Completed
1.6 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 30, 2023

Completed
Last Updated

October 26, 2022

Status Verified

October 1, 2022

Enrollment Period

5 years

First QC Date

December 12, 2019

Last Update Submit

October 25, 2022

Conditions

Keywords

arthroplasty, kneechronic pain

Outcome Measures

Primary Outcomes (3)

  • Pain Numerical Rating Scale on physiotherapy

    Pain Numerical Rating Scale, from 0 (no pain) to 10 (severe pain)

    24 hours

  • WOMAC Score at 3 and at 6 months

    WOMAC score, ranging from 0 to 94

    6 months

  • WOMAC Pain Score at 3 and at 6 months

    WOMAC Pain score, ranging from 0 (no pain) to 20 (severe pain on numerous activities)

    6 months

Secondary Outcomes (5)

  • Morphine consumption

    24 hours

  • Pain Numerical Rating Scale after 6 months

    6 months

  • Incidence of Chronic Post-surgical Pain

    6 months

  • Change in WOMAC Score at 3 and at 6 months

    6 months

  • Change in WOMAC Pain Score at 3 and at 6 months

    6 months

Study Arms (2)

General Anaesthesia

ACTIVE COMPARATOR

Patients will receive a general anaesthetic, together with a femoral nerve block.

Procedure: General anaesthesia

Spinal Anaesthesia

ACTIVE COMPARATOR

Patients will receive a spinal anaesthetic

Procedure: Spinal anaesthesia

Interventions

Patients will receive a spinal anaesthetic

Spinal Anaesthesia

patients will receive a general anaesthetic and a femoral nerve block

General Anaesthesia

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • patients able to undergo a total knee arthroplasty

You may not qualify if:

  • age more than 75 years
  • known case of chronic pain syndromes
  • arthroplasty not due to osteoarthritis
  • sensitivity to any drugs used in protocol

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Mater Dei Hospital

Msida, MSD2090, Malta

Location

Related Publications (1)

  • Sciberras SC, Vella AP, Vella B, Spiteri J, Mizzi C, Borg-Xuereb K, LaFerla G, Grech G, Sammut F. A randomized, controlled trial on the effect of anesthesia on chronic pain after total knee arthroplasty. Pain Manag. 2022 Sep;12(6):711-723. doi: 10.2217/pmt-2021-0081. Epub 2022 Mar 30.

MeSH Terms

Conditions

Chronic Pain

Interventions

Anesthesia, SpinalAnesthesia, General

Condition Hierarchy (Ancestors)

PainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Anesthesia, ConductionAnesthesiaAnesthesia and Analgesia

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDIV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Lead investigator

Study Record Dates

First Submitted

December 12, 2019

First Posted

December 20, 2019

Study Start

June 1, 2017

Primary Completion

June 1, 2022

Study Completion

December 30, 2023

Last Updated

October 26, 2022

Record last verified: 2022-10

Data Sharing

IPD Sharing
Will not share

Locations